Frequently Asked Questions (FAQs)

What happens to my eligibility while I appeal?

Medicaid - If you get Medicaid and file the appeal before your Medicaid ends or within 15 days of the date of this notice - whichever is later - you will continue to be covered by Medicaid. Even if you file the appeal after your Medicaid coverage has ended, but still within 90 days of the postmark of this eligibility notice, your appeal can still be heard but your coverage may not be re-started.

Premium Tax Credits & Cost-Sharing Assistance - If you already get help paying for your health insurance through DC Health Link, you have a choice to remain enrolled in your selected plan. You will continue to get the same level of assistance you were eligible for before the denial, termination, or change made in the notice. However, if you lose the appeal, you may be responsible for any benefits that you received during the appeal process.

Private Health Plan Enrollment - You may remain enrolled in your health plan during the appeal.